Accounts Receivable Specialist

Park Place Behavioral Healthcare•Kissimmee, FL

8d•Onsite

About The Position

At Park Place Behavioral Health Care, we've been leading the way in mental health and substance use disorder services since 1976. As a multi-site facility, we provide a full spectrum of innovative behavioral health services tailored to meet the needs of both inpatient and outpatient clients. We're more than just a workplace. We’re a mission-driven community dedicated to improving lives. Every member of our team plays a vital role in empowering individuals and families to achieve wellness, live self-directed lives, and reach their full potential. Join our team of over 300 passionate professionals and become part of something meaningful. We’re proud to foster a diverse, inclusive, and respectful environment where every voice matters. We know that embracing different backgrounds and perspectives not only strengthens our culture but also enhances the care we provide. We offer more than just a job. We offer growth, balance, and the opportunity to make a difference. Our benefits include: Paid Time Off & Holiday Pay Medical, Dental, and Vision Insurance Basic Life and AD&D Insurance Short-Term Disability Flexible Spending Accounts 401(k) Retirement Plan FMLA Leave Ongoing Training & Development Flexible Work Options (Full-time, Part-time, Contract) Career Advancement Opportunities With 50 years of service in the community, Park Place Behavioral Health Care is a trusted leader with stability, flexibility, and purpose. SUMMARY: Manage outstanding insurance and individual account balances to secure timely payments. SUPERVISORY RESPONSIBILITIES: N/A

Requirements

High School Diploma and one to three years of hands-on experience in medical billing, collections, or revenue cycle management.
Familiarity with electronic health records, medical billing software, and strong Microsoft Excel skills.
Understanding of ICD-10/CPT coding, insurance guidelines, and HIPAA rules.
Understanding of insurance reimbursement processes, claim adjudication, Medicare, Medicaid, and commercial payer requirements.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
A valid Class E Drivers’ License for positions that require driving personal or Agency vehicle on Agency business.
Must maintain a minimum Bodily Injury & Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business. (Proof Required)
PPBH is a 24/7 Agency. All employees must be available as needed when required.

Responsibilities

Perform end-to-end denial management, including researching claim denials, identifying root causes, submitting appeals, and securing appropriate reimbursement.
Analyze denial patterns and reimbursement trends to identify opportunities for process improvement and revenue recovery.
Contact insurance carriers via phone, email, payer portals, and written correspondence to resolve claim issues and payment delays.
Investigate and resolve claim edits, rejections, authorization issues, coding discrepancies, and payer-specific reimbursement concerns.
Follow up on aged accounts and claims with no response from insurance carriers.
Review and apply current federal, state, Medicare, Medicaid, and payer-specific regulations.
Handle Electronic Data Interchange (EDI) transactions, including reconciliation of carrier submissions, clearinghouse edits, and rejection reports.
Reconcile accounts, post incoming payments, and handle adjustments accurately.
Answer individual billing questions, set up and maintain payment plans, and resolve balances.
Maintain confidentiality of organizational information and adhere to all HIPAA guidelines and regulations.
Performs other duties as required by Supervisor.